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Individual

DR. JANET KEEJUNG SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3915 OLD LEE HWY, 22-D, FAIRFAX, VA 22030-2432
(703) 385-1866
(703) 385-5528
Mailing address
3915 OLD LEE HWY, 22-D, FAIRFAX, VA 22030-2432
(703) 385-1866
(703) 385-5528

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007011
VA

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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